<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />Owner's Name
<br />
<br />
<br />"'Bet\-
<br />4Cf~<g
<br />
<br />
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Date Received
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />lq4~
<br />
<br />.s+
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />L{<1~<g
<br />
<br />ICf+~ S+
<br />
<br />JOB ADDRESS
<br />
<br />LOT #
<br />
<br />PARCEL ID#I
<br />
<br />SUBDIVISION
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE c=J
<br />
<br />DEMOLISH
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />B
<br />c=J
<br />D
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />WORK PROPOSED
<br />
<br />OTHER I
<br />
<br />
<br />
<br />D BUILDING
<br />D ELECTRICAL
<br />uif PLUMBING
<br />D MECHANICAL
<br />
<br />1$ I
<br />1$ I
<br />1$ SootOo I
<br />1$ I
<br />
<br />D GAS c=J ROOFING D SPECIALTY c=J OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII1I1111111111I111111111111I11111I11111111111111111III111111111II11111111I1I11111111111111111I
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />Y / N FEE CURRENT
<br /> License #
<br />Y/ N FEE CURRENT
<br /> License #
<br />Y/ N FEE CURRENT
<br /> License #
<br />Y / N FEE CURRENT
<br /> License #
<br />Y / N FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />ELECTRICIAN I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />
<br />:~::~~~~ Wr~
<br />
<br />Address Li Cj~ ~\t, S+
<br />
<br />I
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />MECHANICAL I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />I
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />Di~~~ti~~~': . . , , , , , , , , , , , , , . , , , . . , , , . . , , , , , , . . , , , . , , , , . . , , , . . , , , . . , , , . . , , , , . , , , , , . . , , , , . , , , , . . , , , . , . , . , , , , , , . , , , , , I , , , , , , , , , , , , I , , , , , , I I I I , , , , I , , . I
<br />
<br />Fill out application completely.
<br />Owner & Contractor sign back of application, notarized
<br />If over $2500. a Notice of Commencement is required. (A1C upgrades over $5000)
<br />
<br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
<br />
<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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